■慢性病信息系统在医院和社区的使用在疾病预防中起着重要作用,control,和监测。然而,这些系统有几个限制,包括平台通常是孤立的,患者健康信息和医疗资源没有有效整合,而“互联网+医疗”技术模式并没有在整个患者咨询过程中实施。
■这项研究的目的是评估在慢性呼吸系统疾病作为模型案例的情况下,医院病例管理信息系统在综合医院中的应用效率。
■开发了基于互联网技术的慢性病管理信息系统,供综合医院使用,慢性病病例管理模式,和全面的质量管理模式。使用这个系统,病例管理员提供了复杂的住院患者,门诊病人,以及为慢性呼吸系统疾病患者提供家庭医疗服务。慢性呼吸系统疾病病例管理质量指标(管理病例数,接受常规随访服务的患者人数,随访率,肺功能检查率,急性加重的入院率,慢性呼吸系统疾病知识知晓率,和患者满意度)在实施慢性病管理信息系统之前(2019-2020年)和之后(2021-2022年)进行评估。
■在实施慢性病管理信息系统之前,1808例在综合医院管理,平均603人(SD137)接受了常规随访服务。使用信息系统后,对5868例患者进行了管理,对2056例(SD211)患者进行了常规随访,分别为使用前的3.2和3.4倍(U=342.779;P<.001)。关于案件管理的质量,与使用前测量的指标相比,随访检查成果率提高50.2%,肺功能检查的成功率提高了26.2%,慢性呼吸系统疾病知识知晓率提高20.1%,留存率提高了16.3%,患者满意率提高了9.6%(均P<.001),使用慢性病管理信息系统后,急性加重的入院率下降了42.4%(P<.001)。
■使用慢性病管理信息系统可提高慢性呼吸道疾病病例管理的质量,并降低因疾病急性加重而入院的患者率。
UNASSIGNED: The use of chronic disease information systems in hospitals and communities plays a significant role in disease prevention, control, and monitoring. However, there are several limitations to these systems, including that the platforms are generally isolated, the patient health information and medical resources are not effectively integrated, and the \"Internet Plus Healthcare\" technology model is not implemented throughout the patient consultation process.
UNASSIGNED: The aim of this study was to evaluate the efficiency of the application of a hospital case management information system in a general hospital in the context of chronic respiratory diseases as a model case.
UNASSIGNED: A chronic disease management information system was developed for use in general hospitals based on internet technology, a chronic disease case management model, and an overall quality management model. Using this system, the case managers provided sophisticated inpatient, outpatient, and home medical services for patients with chronic respiratory diseases. Chronic respiratory disease case management quality indicators (number of managed cases, number of patients accepting routine follow-up services, follow-up visit rate, pulmonary function test rate, admission rate for acute exacerbations, chronic respiratory diseases knowledge awareness rate, and patient satisfaction) were evaluated before (2019-2020) and after (2021-2022) implementation of the chronic disease management information system.
UNASSIGNED: Before implementation of the chronic disease management information system, 1808 cases were managed in the general hospital, and an average of 603 (SD 137) people were provided with routine follow-up services. After use of the information system, 5868 cases were managed and 2056 (SD 211) patients were routinely followed-up, representing a significant increase of 3.2 and 3.4 times the respective values before use (U=342.779; P<.001). With respect to the quality of case management, compared to the indicators measured before use, the achievement rate of follow-up examination increased by 50.2%, the achievement rate of the pulmonary function test increased by 26.2%, the awareness rate of chronic respiratory disease knowledge increased by 20.1%, the retention rate increased by 16.3%, and the patient satisfaction rate increased by 9.6% (all P<.001), while the admission rate of acute exacerbation decreased by 42.4% (P<.001) after use of the chronic disease management information system.
UNASSIGNED: Use of a chronic disease management information system improves the quality of chronic respiratory disease case management and reduces the admission rate of patients owing to acute exacerbations of their diseases.